Employment Application Personal Information First Name Last Name Your Email Address Enter Email Enter Email Confirm Email Your Home Address Street Address Unit / Suite Number City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP Code Home Phone Cell Phone Best Time To Call You Best Time To Call YouBest Time To Call YouMorningsEarly AfternoonLate AfternoonEarly Evening When is the best time for us to reach you via telephone? Are you 18 or older? Yes No Do you have a legal right to remain and work in the United States? Yes No Have you ever filed an application with the Jackson YMCA before? Yes No Have you ever been employed by the Jackson YMCA before? Yes No Have you ever been convicted of a crime? Yes No Are there any felony charges pending against you? Yes No Position You're Applying For Position(s) desired Availability Full Time Part Time Seasonal Hours You Are Available for Work Mon Tues Wed Thurs Fri Sat Sun please tell us what hours you are available for work each day of the week. Previous Employment Your Previous Employers Re-order Employer Dates Position Phone Weight Operations Employer Dates Position Phone Item weight Add more items more items please list your previous employers, the dates you worked and the position you held Personal References References 1 First Name Last Name Phone References 2 First Name Last Name Phone References 3 First Name Last Name Phone Please list three personal references, that are not related to you, that we may call and speak with. More About You Tell Us About Yourself Do you have any special training skills qualifications or other experiences that relate to the position? Upload Your Resume One file only.10 MB limit.Allowed types: pdf, doc, docx. The Legal Stuff Terms and Conditions I certify that all the statements made by me in this application are true. I understand that should any statement be false termination of my employment with the Jackson YMCA may result. I hear my wave written notice from my former employer who divulges a disciplinary report. Letter reprimand or other disciplinary action to the Jackson YMCA. I understand that if I am offered a job with the YMCA, I will be an at will employee and my employment can be terminated with or without just cause at any time at the option of either the YMCA or myself. I understand that no person other than the CEO of the YMCA has any authority to enter into any agreement for employment for any specific period of time or make any arrangement contrary to the foregoing unless it is in writing and signed by both CEO of the YMCA and myself. Acceptance I agree to the Terms and Conditions CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Math question 2 + 11 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.